Children and Young People’s Partnership Prevention and Early Intervention Strategy Foreword Joyce Thacker I am delighted to introduce this very important document which sets out a renewed commitment for all agencies in Rotherham to improve the support we offer to our children, young people and families. This strategy outlines how we will develop and work together to provide the most appropriate services at the earliest opportunity. Prevention is always better than cure and the earlier we can work with children, young people and families the bigger impact we can make. Prevention and early intervention is one of the four ‘big things’ in the new Rotherham Children and Young People’s Plan and underpins everything we do for children, young people and families. We are therefore also calling for a change in the way we work with children, young people and families to focus on that early support. We all need to make that renewed commitment to ensure our services are co-ordinated, integrated, accessible and personalised to the needs and strengths of individual children, young people and families. That will mean that families are much more likely to be able to find support and help should problems arise. Research shows that prevention, early intervention and joint working can significantly reduce the need for statutory intervention later on in children’s lives. In my role I am in the privileged position of going out and seeing numerous excellent examples of colleagues working with families to overcome difficulties and improve children’s life chances. I also see the positive impact that work actually has on children and families. These services are delivered by an amazing variety of voluntary and community sector organisations as well as by public sector agencies Our challenge then is to work together to improve the co-ordination of services and be ready to support families as soon as possible when they ask for help. Alongside that, we need to actively seek out those families who are isolated or marginalised and support them to find the services that they need. This strategy focuses on how we can do this. The support and protection of children and young people is a shared responsibility and I ask you to join me in working together to improve the lives of all children, young people and their families in Rotherham. Yours sincerely, Joyce Thacker Strategic Director, Children and Young People’s Services PLEDGE We are committed to identifying need and supporting children, young people and families at the earliest possible stage. We will change our focus to a preventative and early intervention approach with a radical shift of ways of working and resourcing to support this. This is a significant step forward for integrated working in Rotherham. “Working together to improve the lives of all Rotherham’s children and young people.” (Rotherham’s Children and Young People’s Plan 2010-2013) PRINCIPLES We will provide services which meet the needs of children, young people and families/carers by: listening to them and ensuring they help shape our services not being restricted by an organisation’s boundaries working with adult and community services to support the whole family recognising that all communities are different and adapting to meet those needs ensuring easy access and the highest quality of support As organisations we will also ensure that: where people work together, they will train together our staff understand the principles and practice of sharing information to ensure seamless care and support managers and practitioners know what other services are available so they can avoid duplication and signpost people to the help they need we will contribute fully in all cases Contents Introduction Page 5 Definition Page 6 National Strategic Drivers Page 7 Strategic Objectives Page 9 Vision Page 9 Identification of Need Page 10 Risk Factors Page 11 The Prevention and Early Intervention Framework Page 12 Universal Services – First Line of Support Page 14 Early Intervention Work Page 14 Early Years (pre-birth to 5 years) Page 14 Schools and Partners (5-16 years) Page 16 Targeted Youth Support (16 years) Page 17 CAF and Team Around the Child Page 18 Early Intervention Panels Page 19 Think Family Panels Page 21 Parenting Page 23 Workforce Development Page 24 Appendix 1 – Continuum of Needs/ Indicators Page 25 Appendix 2 – Common Assessment Framework Process Page 30 4 Introduction This strategy seeks to reform systems and better coordinate the support that vulnerable children, young people and families receive from childrens’, adults’ and family services with the aim of improving outcomes for children. These outcomes will only be improved if the focus can be shifted from dealing with the consequences of difficulties in the lives of children and young people, to preventing things from going wrong in the first place. “It is always better to prevent failure than to tackle a crisis later” (National Children’s Plan: Building Brighter Futures) The strategy provides processes and tools which enable services to work together to identify families at risk of poor outcomes and to provide support at the earliest opportunity. It is designed to provide the framework within which all partners can cooperate, prioritise and coordinate their collective efforts. It requires the involvement of a wide range of universal and targeted services working across all sectors working together to meet the full range of needs within each family. It requires the involvement of universal services such as schools, Children’s Centres, youth workers, maternity services, GP’s, the health visiting and school nursing services and voluntary and community sector organisations, who are often best placed to identify vulnerable children and families and who can offer early action to prevent and tackle problems before situations escalate into crisis. As well as childrens’ services working together more effectively, the delivery of an effective preventative strategy depends on children’s services developing working arrangements with adults’ services. Services for adults have a vital role to play, including identifying risk, ensuring parents have the skills to respond appropriately to the needs of their children and minimising the risk of parental problems affecting the lives of the children in the family. This strategy establishes the development of protocols and partnership arrangements between Children and Young People’s Service and those working with adults, to ensure a whole family approach to tackling poor outcomes for children and families. “Early Intervention is a shared responsibility for all who work with children, young people and families”. (Early Intervention: securing good outcomes for children and young people. DCSF 2010) An underlying principle within this strategy is that any intervention is negotiated with families. The ‘Strengthening Families’ approach to working with children, young people and families seeks to develop partnerships between services and families, ensuring families are listened to and actively involved in any planned intervention whenever possible, that it is not imposed on the family other than in exceptional and serious circumstances. We aim to do things with the family, rather than to the family, and thus we will ensure synergy with the emerging Parenting Strategy, as parental support is seen as a key element of any preventative work with families. 5 Definition Prevention and early intervention are often used interchangeably. We would concur with the Government definition of prevention as actions that boost children’s resilience and protect them from potential poor outcomes and of early intervention which means intervening as soon as possible to tackle problems that have already emerged for children and young people. Preventative services would include: giving information to families around support that is available offering leisure activities for children to socialise and stay healthy educational opportunities in and around schools for children to develop their full intellectual potential routine assessment and identification of need by the health visiting and school nursing services delivery of health promoting activities Examples of early intervention strategies would include: early identification of children and young people with health and development problems that if left unattended would significantly impact on their future physical, emotional and social well being offering parental support to parents and carers who are having difficulties bringing up their children providing extra support in the classroom for children with additional learning needs responding to early indicators around anti social behaviour amongst young people by delivering activities aimed at reducing the likelihood of criminal activity. Early intervention may be required for children of any age. Support in the early years of children’s lives can be very effective as we support families as soon as they encounter problems. However, families with children of any age may experience difficulties and need additional support. 6 National Strategic Drivers The Rotherham Prevention and Early Intervention Strategy and the model for integrated working is in line with a number of key national strategic drivers. “It is essential that everyone who works with children, young people and families understands the difference they can make to children and young people’s outcomes, knows how they need to work with other professionals to ensure that services are integrated and personalised to respond to the needs and strengths of individual children and has the skills, knowledge and expertise to do their job to world class standards.” The Children's Plan 2009 “Early action is the key, later interventions, although important are considerably less effective if they [children] have not had good early foundations” Maternity and Early Years, making a good start to family life 2010 “BSF investment will be used to bring together schools and Children’s Centres, social care, health, voluntary sector and youth provision within ‘Full Service Extended Learning Communities’. Multi-disciplinary teams of professionals and services will provide locally based, accessible, connected and responsive early support for children, young people and families, These partnerships will provide a highly personalised ‘bespoke’ offer so that no child or family is left behind.” Building Schools for the Future: Strategy for Change Part 1 – April 2009 “Schools will place an even stronger emphasis on working in partnership as, working in isolation, no one school will be able to deliver the broad range of inputs and outcomes we want to see. There is strong partnership with those delivering other children’s services in the local area, whether from the statutory, third or independent sector – under the umbrella of the Children’s Trust: the partnership in each area which brings together the organisations responsible for services for children, young people and families in a shared commitment to improving children’s lives. This would include school’s shared role in safeguarding children and young people “ 21st Century Schools: A World-Class Education for Every Child “Healthy lives, brighter futures” set out how we will work in partnership with local authorities and primary care trusts and those working across children’s health services to build the quality of support for families at key stages in their children’s lives.” Healthy lives, brighter futures: The strategy for children and young people’s health – Feb 2009 “The factors which contribute to many other poor outcomes for young people also contribute to offending behaviour. If we tackle those we will also prevent youth crime and cut re-offending.” Youth Crime Action Plan – HM Government 2008 “Multi disciplinary working helps to ensure that children, young people and their families are given swift and simple access to the complimentary skills of a wide range of people working together. It is not about losing the benefit of individual specialisms, although joint working may lead to some remodelling of roles.” Every Child Matters: Change for Children DfES (2004 ) “At the same time as taking advantage of the opportunities presented by partnership for pupils on their own roll, it is important that schools take some responsibility for 7 pupils in the area more widely. We will legislate to make clear that the school may use some of its resources for this sort of work and to take on these wider responsibilities. We will make clear that the school has responsibilities: first, to the pupils on its own roll; second, to other children and young people in the wider area; and third, to the wider community which it serves.” Your Child, Your Schools, Our Future: building a 21st century schools system Nov 2009 “ … health, education and other partners, working together across a range of settings, can significantly enhance a child or young persons life” Healthy Child Programme (from 5-19yrs old) DoH & DFCSF “Early intervention is vital – not only in ensuring that fewer and fewer children grow up in abusive and neglectful homes, but also to help as many children as possible to reach their full potential” The Protection of Children in England: A Progress Report. The Lord Laming, 2009 8 Strategic Objectives The strategic objectives that the strategy aims to achieve are: to create multi agency partnerships that work together to improve outcomes for children, young people and families to support the re-focusing of resources from crisis intervention to prevention to identify need at the earliest opportunity to provide swift and easy access to support to develop personalised, family focused action plans for individual children, young people and families to ensure clear accountability for the delivery of agreed outcomes to provide the tools and process to enable services to work together to deliver learning and development opportunities across all sectors that equip staff to work together to develop agreements that enable children’s services to work with adult services to ensure families are actively involved in planning and agreeing the support offered Prevention and early intervention is one of the four ‘big things’ that will guide the activity within the Rotherham’s Children and Young Peoples Plan 2010-2013. What these ‘big things’ have in common is that their impact will be felt across the children and young people’s partnership in every aspect of how services are delivered to children and young people; they will run through all activities and areas of focus outlined in the plan and require the involvement of every partner. Vision ‘Working together to improve the lives of all Rotherham’s children and young people.’ Rotherham’s Children and Young Peoples Plan 2010-2013 9 Identification of Need The key factor in the prevention and early intervention agenda is the early identification of risk and/or need. The emphasis of this strategy is on ensuring an early robust response to developing problems, providing timely and accurate assessment and, where required, bringing together services more quickly to identify actions that are required. This will reduce the number of children and families requiring more intensive, specialist and complex support. Universal services play a key part in the early identification of need as they engage with all children at some stage and are in a prime position to identify disadvantage or emerging difficulties. The most significant universal services are schools, Children’s Centres, early years settings, youth services, primary health care services and voluntary sector providers. Rotherham Children and Young People’s Board has adopted a tiered model to help understand levels of need. Rotherham Every Child Matters Continuum Level 1 Single- agency liaison and response Level 0 Children / families in universal services Level 2 Multi-agency assessment and response CAF meeting Level 3 Multi-agency assessment and response; Child in Need meeting Level 4 Child in Need Multi-agency action plan; assessment and review process response; initial/core assessment led by CYPS Social Level 5 Care Multi-agency assessment and Consultation response; core assessment, in accordance with child protection procedures, led by Social Care There are very clear systems and processes in place that coordinate services to support children and young people at levels three, four and five. These are documented in The Safe and Well Practice Guidance: Integrated Working with Children and Young People with Additional or Complex Needs and in the Safeguarding Children Procedures. A successful prevention strategy would ensure that services delivering support to children, young people and families in levels 0, 1 10 and 2 work together effectively developing personalised action plans for each individual child and family with an identified need. The result of effective delivery at these lower levels would be a reduction in the numbers of children and families requiring services at levels 3, 4 and 5. Work at level 1 will often be single discipline where as work at level 2 and above is more likely to involve more than one agency. At level 2, the use of the Common Assessment Framework and the protocols outlined in the Safe and Well Practice Guidance must be adhered to. Across Rotherham, there are already many examples of good practice where staff from different services and organisations work well together to improve the lives of our children, young people and families. In developing this strategy, these models will be used to inform practice across the borough. However, whilst the provision of services will necessarily differ according to local need, it is imperative that children, young people and families have access to universal, coordinated and effective support packages that are galvanised at the very earliest opportunity, and that are in place wherever that family lives. Risk Factors The ‘Safe and Well Practice Guidance’ and the ‘Think Family Toolkit’ identifies a number of warning signs which would identify a child, young person or family as vulnerable in some way. They would become a priority for the provision of universal or targeted support. These warning signs can be considered as risk factors and may include:signs of neglect poor attainment at school homelessness or housing issues poor school attendance a learning disability domestic violence young carer teenage pregnancy social exclusion mental ill health of a parent or carer complex care needs significant under/over weight substance misuse sexual exploitation children leaving care relationship conflict children of migrant workers or travellers no parent in work involvement in crime low parental education and skills low income or poverty parent in prison looked after children In Rotherham, we have developed a Continuum of Needs/Indicators (see Appendix 1). Anyone working with children, young people and families would have access to this matrix which would act as an early warning that there are concerns about an individual child, young person or family. The matrix will form the basis of discussion around the needs of named children, young people and their families who have been identified as having issues that in some way make that child or family vulnerable and thereby reduce the potential for meeting the ECM outcomes. 11 The Prevention and Early Intervention Framework The diagram overleaf illustrates the Prevention and Early Intervention Framework for Rotherham. This framework is organised around the proposed learning communities which ensures consistency with the Transforming Rotherham Learning (TRL) strategy. The TRL strategy is one of building a network of Learning Communities based around families of schools and includes other providers of children’s services operating in that Learning Community boundary. It will encompass integrated service provision built around local needs and aspirations. Building on successful Integrated Services Pathfinder Projects (e.g. Clifton), each Learning Community will develop the way in which services can come together to provide more cohesive and integrated care and support built around the needs children, young people and their families. In some areas, there are already established integrated and co-located children’s services with agreed protocols and practice for cross service funding of shared space and resources. These developments include initiatives that enable shared access to information and data. The TRL Project aims to extend and develop this approach by engineering bespoke centres for teams of multi-agency practitioners. Early ntervention panels and Think Family Locality Panels will be the vehicle to develop integrated locality working, focusing on better communication across services and more effective, coordinated support for families. The strategy brings Children’s Centres, social care, health services, schools, youth provision, extended learning and voluntary services together to build effective local inter-agency partnerships that offer local, accessible and connected early intervention to children and their carers and ensure that no child is left behind (BSF Strategy for Change). The TRL strategy provides a framework around which learning communities can organise their preventative and early intervention responses and it places the onus on the learning community to deliver tangible improvements in outcomes for children and families. It does not however, dictate the structures and processes within that framework. There will be local discretion as to the local arrangements. Indeed, some learning communities already have effective multi agency forums in place. How and where services are accessed and delivered is important. Rotherham has well established areas of service provision. We will conform for maximum effectiveness with these, in particular Localities (based upon Area Assembly boundaries) and Learning Communities (school clusters). Every Child Matters originally referred to all services being available ‘within pram pushing distance’, and we are committed to local, community delivery of services wherever and whenever possible. 12 Universal services including voluntary and community sector organisations working together on prevention and early support for children, young people and families FOLLOW CHILD PROTECTION PROCEDURES IF CHILD AT RISK OF HARM OR NEGLECT Children and Young People’s Services Prevention and Early Intervention Framework COMMON ASSESSMENT FRAMEWORK N.B. Not all early intervention work will require a CAF Early Intervention Work Pre-Birth – 5yrs Learning Communities Early Years Services 5yrs – 16yrs Schools and Partners 16yrs Plus Targeted Youth Support Teams Around the Child Locality Early Intervention Panel Think Family Panel 13 Universal Services – First Line of Support Children and Young People’s universal services and voluntary and community sector organisations already deliver preventative and early intervention work. Much of this work is delivered by single agencies. There are also lots of examples of proactive, effective partnership working that improves outcomes for children, young people and families. However, we need to integrate and coordinate these services better to enable the delivery of relevant and timely prevention and early intervention which is central to what we aim to achieve. All the universal services have plans in place to support children, young people and families with clear intended outcomes identified for those children and families. These plans are in line with the processes of each relevant organisation. For example there may be a health intervention from a school nurse, the health visitor may visit a mother to offer advice on breast feeding, the young person may be encouraged to access youth work activity, the parent may be invited to a family learning engagement session or, a Children’s Centre outreach worker may be asked to visit the family at home and engage the parent/carer in Children’s Centre activities. The majority of a child, young person and family’s needs are likely to be met by universal services. If those needs escalate, there will be a need for early intervention aimed at halting the further negative development of that need. Early Intervention Work Whilst establishing and embedding the prevention and early intervention strategy, we will coordinate services around different stages in the lives of children and young people. This will enhance existing networks and practice. In some instances, children and young people may be supported across the sectors. For example some school aged young people may be referred to the Targeted Youth Support Early Intervention Teams because of the risk of disengagement at school. There will need to be good communication across the age related networks to ensure consistency and continuity. This will be provided by the Learning Communities Multi Agency Early Intervention panels. Early Years (pre birth to 5 years) The first line of support for children at pre-birth and up to 28 days post delivery will be the midwife. The health visitor works with children 0-5 year olds. Children’s Centres bring together early education, childcare, health and family support services to deliver the best start in life for every child. They are service hubs where children under five and their families can receive seamless integrated services and information. Their services are universally accessible, whilst retaining a focus on the most vulnerable and children and families. In many instances health services and other childhood services already work closely with Children’s Centres. Indeed, integrated working is central to Children’s Centre philosophy and practice. However, this practice is not consistent across the borough. There are also numerous, private, voluntary and independent sector providers working with this age range. Home-Start for example is an organisation supporting families who do not access services such as Children’s Centres and who would otherwise be isolated. This strategy will help establish the structures that will enable these early 14 childhood services and other agencies supporting families from pre-birth to 5 year olds to work together. Every Child a Talker Every Child a Talker (ECAT) aims to improve early years practitioners and parents’ knowledge, understanding and confidence of how young children develop language and reduce the amount of children at risk of delay. The project has enabled joint working to take place between speech and language therapists and early years providers. The speech and language therapists have delivered a package of training to support practitioners who have then disseminated this knowledge wider to other practitioners and parents. They have also carried out intense visits to early years settings to support practitioners with strategies to support language development. The ECAT monitoring data has shown that confidence levels of parent and practitioners involved in the project have increased since they started the project. More confident practitioners are now more able to recognise children who may be at risk, carry out the appropriate referral procedures and work with parents to improve children’s outcomes. The strategies support all children and this allows more children to develop ahead of what is expected. The aims of ECAT and this model of joint working will be disseminated across Rotherham to ensure all those working with early years providers are better able to identify early children that may be at risk of delay at an early stage and to ensure all children are supported to fulfil their full potential. What we are going to do Within each Learning Community, there will be a main Children’s Centre identified as that Learning Communities’ base for early intervention meetings. The choice of centre will depend on a number of factors including resources, staffing, facilities, and existing partnership arrangements. These meetings will involve a core membership of Children’s Centre link Health Visitor Children’s Centre link Midwife Children’s Centre Outreach Worker Children’s Centre Family Support Worker However, dependant on local circumstances, there may be additional core members e.g. Children’s Centre Special Education Needs Coordinators, Children’s Centre Inclusion Workers. These teams will be tasked with working together to ensure support for young children and their families is provided at the earliest opportunity within the respective Learning Community and will support the delivery of the Children’s Centre concept of multiagency working. All practitioners working with pregnant women and young children will be made aware of the early childhood services intervention meetings, the contact person and the 15 schedule of meetings which will be on a frequent and regular basis. These meetings will consider any referrals and may discuss any young children or families with whom they are working and who they feel may require support over and above that offered by their own service. In some cases, single agencies may be able to deliver the appropriate support needed or the meeting may agree to undertake a CAF. In these cases, CAF processes will be followed; this includes the creation of a Team Around the Child (see below). An example of effective early intervention work with young children is offered by the Early Support initiative which is the DCSF / DOH approach to multi-agency working with young children with disabilities and additional needs. Schools and Partners ( 5-16 years) For children aged 5-16 years, schools are the key universal service. Most schools already have strong partnerships with a range of other educational support services. Many schools have extended this joint working to encompass a much broader range of partners from across other local authority services, health services, voluntary and community sector providers, police and so on. Again though, this practice is not consistent. Schools and their partners will be challenged to establish processes within the individual school to identify the most vulnerable children and consider what resources they have to intervene and work with the child, young person and the family. What we are going to do In line with the TRL strategy, families of schools will establish early intervention meetings for school aged children across the Learning Community. Examples of this way of working are already in place in some Learning Communities e. g. Clifton. Children experiencing difficulties in one school may well have siblings in other schools or in the Children’s Centre within the Learning Community. By working together as a Learning Community, schools will combine resources to support the whole family. This will require sharing access to the resources in all schools, not just the designated recipient schools, thereby improving the provision for everyone. There will be a nominated Lead for the group, probably from the respective secondary school. There will be an agreed schedule of meetings which will be on a frequent and regular basis. These meetings will consider any referrals made from individual schools around children or families with whom they are working and who they feel may require support over and above that offered by their own school. There are a wide range of professionals who could be involved in these school based early intervention meetings. In some cases a CAF will have been completed by the individual school, and support will be offered via that school. Not all CAFs will be brought to the schools Learning Community early intervention meeting as the needs of the child, young person and family would have been met by the individual school. Clifton Multi-Agency Support Team (MAST) Clifton MAST was set up by the schools, to address an identified gap to meet the needs of vulnerable and challenging youngsters and families, which has the potential to do more within a locality framework. MAST fits into the existing system and provides support that is above routine support but below crisis intervention. 16 The team, which meets 6 times a year, includes representation from health, social care, education and voluntary agencies. All those who attend agree to work under the ‘Joint Confidentiality Agreement for sharing information’. Anyone may, with the permission of the family, bring a ‘named’ family; or with parental permission a completed CAF to be discussed at the meeting with the intention of supporting the action planning process; or an ‘unnamed’ family where there is no parental permission but where support to generate ideas is needed; or ‘raise the name of a family’ causing concern to check whether others have concerns (this family is then discussed only by professionals involved). What makes it effective is that agencies share information and are willing to jointly problem solve and we all accept responsibility for all the needs of the youngsters as promoted in Every Child Matters. We have clarity about who is addressing what aspects and we have a collective responsibility to deliver the outcomes. We aim to be persistent and not lose the thread of a case and we repeatedly examine the systems and structure within MAST to ensure that they are fit for purpose. Targeted Youth Support (16 years) For young people who have left school, a range of youth services are working to support older young people. Numerous voluntary and community sector organisations work with young people around a range of issues, whilst service such as Youth Service, Connexions, Youth Offending Services and Police contribute to universal provision. What we are going to do Currently there are youth support early intervention teams organised around localities. These teams are charged with working with young people identified as being at risk or who are vulnerable. This includes young people involved in drug and substance misuse, of involvement in crime and disorder and those at risk of teenage pregnancy. The teams are managed by a senior youth worker and there is an established referral process and assessment tool. Fortnightly meetings are held which consider referrals, allocate workers to individual young people and plan action around named young people. Progresses on actions are reviewed every three months. These teams involve: Senior Youth Workers Youth Offending Workers (Early Intervention Workers) Connexions Workers Teenage Pregnancy Workers Police To support the Prevention and Early Intervention Strategy, these teams will mirror the Learning Community structures and will feed into the Learning Communities Early Intervention Panels. 17 CAF and Team Around the Child In some cases, where additional needs are identified the worker may decide, in consultation with the family, to complete a pre CAF checklist or to undertake an assessment using the Common Assessment Framework (CAF). The Rotherham Continuum of Needs/Indicators can support workers with this process. CAFs can help workers and families identify a child or young person’s strengths, needs and goals. Not all prevention and early intervention activity will progress onto a CAF. Often, the support provided by universal services, either working as a single agency or working in partnership will provide the child, young person and family with the support they need. The CAF is particularly suitable for use in integrated early intervention. With the child, young person or family’s consent, CAFs can be shared between services and used as a starting point for planning coordinated, multi agency action. At this stage, workers will need to refer to the Safe and Well Practice Guidance: Integrated Working with Children and Young People with Additional or Complex Needs and the CAF process will need to be followed (see appendix 3). If the CAF identifies the need for specialist intervention, e.g. Educational Psychology, Portage, Early Support for children with disabilities. Youth Offending ASSET and other statutory assessment processes, further assessments will need to be undertaken to identify the specialist support needed. For those children, young people and families who have additional needs that cannot be met by the universal services, support may need to come from across the wider learning community. In some cases, practitioners may need advice as to how to support a child, young person or family. In the first instance, this should be discussed with the line manager. A CAF pre-assessment checklist could be completed and if it is felt appropriate, it may well be agreed to pull together a team around the child to jointly develop a CAF. That TAC would identify the appropriate person to become the Lead Worker. If a CAF has been undertaken, the lead worker/CAF author will draw together the team around the child. The TAC will consist of practitioners whose services have been identified in the assessment. The TAC would build up a picture of the child, young person or family’s strengths, needs and goals. The Lead Worker will coordinate services at the point of delivery and will ensure that information is shared across agencies and with the child, young person and family. The Lead Worker will also ensure the process is child, young person and family centred. Any discussions and decisions will need to be recorded and all CAF documentation should be submitted to the CAF administrator. The purpose of the Team Around the Child meetings To identify a lead worker To bring together a virtual/flexible team of practitioners to work together on improving outcomes for identified child, young person and family To build up a picture of child, young person and families holistic strengths, needs and goals. 18 To ensure joined up assessment To co-ordinate services at the point of delivery To develop a TAC plan To include the child, young person and family in meetings and information sharing and to ensure the process is child, young person and family centred To provide targeted referrals to specialist services To share information across agencies and with the child, young person and family centred as appropriate To review progress To record any discussions and /or decisions To ensure the CAF administrator is kept up to date at each stage and that the relevant forms are submitted as per the CAF process TAC members will work together on improving outcomes and they will be required to contribute to an action plan. Responsibility for outcomes would lie with the workers contributing to the CAF action plan, who would be accountable to their manager within their respective services. Progress towards achieving outcomes identified in the plan would be overseen by the Lead Worker. Lead Workers would be supported by three CAF coordinators working across the Learning Communities. They will champion CAF, support workers through the process and provide quality assurance for completed CAFs. Should issues arise in relation to commitments from agencies, support would be requested from the relevant Early Intervention Panel. Early Intervention Panels Early Intervention panels are inextricably linked to the roll out and multi-agency use of the CAF, being a key part of Rotherham’s chosen structural response to the early intervention aspect of the ‘Every Child Matters’ agenda. Each Learning Community will initially have an Early Intervention Panel to oversee the roll out of the CAF and facilitate the development and functioning of the Team Around the Child, particularly by ensuring there is a multi-agency engagement with the agenda. Early Intervention Panels (EIP) are groups of practitioners working within a Learning Community who meet regularly and whose members represent key local services working with children, young people and families. Each panel will have core services that will be consistent, but other agencies will be invited depending on the different circumstances and need of individual children, young people and families. 19 The purpose of the Learning Community Early Intervention Panels To offer timely advice and responses to prevent escalation of need where need cannot be reasonably met within the TAC processes. To help broker access to services where necessary to facilitate TAC meetings. To support the Lead Worker role if the role cannot be reasonably managed by the TAC team To have an oversight of all CAFs completed in the Learning Community To offer support and challenge to ensure the central participation of children, young people and their families in the CAF and TAC processes To ensure all relevant CAF documentation is registered with the central administrator To have a quality assurance role for all CAFs completed in the Learning Community To inform local allocation of resources contributing to prevention and early support and to inform commissioning decisions in the Learning Community The function of the EIP would be to have an oversight of all CAFs completed in the Learning Community and to offer timely advice and responses to prevent escalation of need where need cannot be reasonably met within the TAC processes. The EIP would support services who may be working with ‘stuck families’. They would help broker access to services and to support the Lead Workers role if the role cannot be reasonably managed by the TAC team. They would offer support and challenge to ensure the central participation of children, young people and their families in the CAF and TAC processes. The EIPs would have a quality assurance role for all CAFs completed in the Learning Community and will inform local allocation of resources and commissioning decisions contributing to prevention and early intervention. Rawmarsh Multi Agency Panel In June 2007, a Multi-Agency Panel was established. Membership includes Primary School Head Teacher representatives, Children’s Centre Head and Outreach Workers, Secondary School Assistant Head Teacher and Family Support Worker, Educational Psychologist, Behaviour Support Service, Learning Support Service, Rotherham MIND, Social Worker, School Nurse, Health Visitor, Education Welfare Officer, Police Officer, Senior Youth Worker, Extended Services Partnership Officer, Connexions Worker. The agenda is organised in three sections. The first of these is around named cases which are brought with parental consent and where a CAF has been or is in the 20 process of being completed and where there is the need for multiagency cooperation. The second is for unnamed cases where there are significant concerns which required multi- agency consideration and advice. The third part of the meeting provides an opportunity to discuss concerns emerging in the locality involving children and young people. This enables the panel to consider how they might best use resources collectively to prevent deterioration and improve opportunities for children and young people. Meetings are held monthly and are chaired by the Locality Manager. Referrals have to be received 10 days prior to the meeting and the agenda is circulated 5 working days before the meeting to provide agencies with the opportunity to contribute information to the meeting. Lead Workers will attend if their cases were being discussed. A confidentiality protocol was agreed which all members signed up to. Parental consent had to be secured and an information leaflet about the work and the scope of the panel was prepared for parents. Early Intervention Panels will need to be consistent across the Learning Communities. C&YPS is currently developing a way of facilitating this. The chair would be accountable to the Director of Community Services within Children and Young Peoples Service. The Chair will collate an agenda for each meeting in response to issues raised at TAC meetings or from individual lead workers. Think Family Panels Children do not live in isolation. They live in families often with parents experiencing difficulties. When issues are identified where services working with adults may need to be involved, protocols will be in place that ensures C&YPS can work with Adult Services to meet the needs of the whole family. Work is progressing to establish a borough wide Think Family Board, headed up by the Strategic Director of Children and Young People’s Services. This Board will be looking to develop a series of service protocols and frameworks that set out how key adult’ services can work effectively with children’s and family services. Integrated processes would need to be developed so that shared assessments and information across agencies give a full picture of a family’s needs and help ensure support is fully co-ordinated. In an organisation that ‘thinks family’, contact with any service should offer an open door into a broader system of support. The partnership is looking at the concept of whole family common assessments which would require the involvement of a much wider range of services in supporting families. This support plan for the whole family would pull together agencies from across adults’ and childrens’ services to play their role in minimising the risk of parental problems such as domestic violence, mental health, substance misuse or worklessness affecting children’s outcomes. At a locality level, Think Family Panels will be established. These forums will meet quarterly and will be chaired by a senior manager within C&YPS. At this forum, discussions will be held to improve local arrangements for identification and support of 21 children, young people and families by adult services working more closely with childrens’ services. The purpose of the Locality Think Family Panels To offer strategic support and advice to Early Intervention Teams To help unblock barriers to multi agency working To develop strategic links between childrens’ and adults’ services To agree and support the required workforce development to support the integration agenda To feed into the Borough wide Think Family Board To receive reports from Early Intervention services To inform strategic planning around integrated working in the Learning Community To make decisions about deployment of staff and resources to support the integration agenda To look at issues of joint working across services and the Locality To inform relevant local commissioning decisions The Think Family Panels will offer strategic support and advice to Early Intervention Panels by developing strategic links between childrens’ and adults’ services at a Locality level. They would inform strategic planning around integrated working in the Locality and make decisions about deployment of staff and resources to support the integration agenda. They would aim to help unblock barriers to multi agency working and broker access to services where necessary. Membership of the Think Family Multi-agency Panels will be at strategic level. Membership will reflect all services who may contribute to improving outcomes for children and families. As well as services delivering to children and young people, these panels would include adult services such as Adult Social Care, Job Centre Plus, Adult Mental Health Service, Housing, Probation, Citizens Advice and so on. They would also aim to involve local GPs and Elected Members. Each team will have core services which will be consistent, but other agencies will be invited depending on the different circumstances and need of individual children, young people and families in the locality. The Chair will be accountable to the Director of Community Services within Children and Young People’s Service. The panels will report to the Children’s Board and to the Think Family Board 22 Parenting This Prevention and Early Intervention Strategy is supported by the Parenting Strategy for Rotherham. Rotherham is developing a universal and targeted parent offer for all parents in Rotherham concentrating on their child and family’s journey from pre birth through to the child being 7 years old. Currently parents can access a variety of services. Often these are dependent on the locality in which they live and the professionals based within them. The universal offer aims to align the services delivered through Health, Social Care, Early Years, Family Support, Outreach, Children’s Centres, Information services, Benefits advice, Housing advice and numerous others. Through this alignment and co-ordination parents will be offered a pathway with seamless transitions to service delivery. The delivery model is based on developing parents’ understanding of how children develop, offering pre natal care and advice and, linking into information services for benefits and housing advice. This model is being piloted in Rotherham by the 0 to 7 Project which is part of an action research project for the DCSF. It is envisaged that through the work of the project there will be long term sustainable change in service delivery for parents and children, which will ensure early prevention and support. Other universal support for parents comes in the form of parenting programmes including Families and Schools Together, Social and Emotional Aspects of Learning, Social and Emotional Aspects of Development, Child Development and Parenting Positively. The parenting strategy is working toward offering each Learning Community a comprehensive package of parenting support. In addition to developing a universal offer, there are a range of targeted interventions that focus on specific need. This includes projects such as the Family Intervention Project. There are also a range of evidence based courses such as Parenting Positively, Mellow Parenting, Webster Stratton, and Strengthening Families which target families in tiers 2, 3 and 4 (see the Rotherham Every child Matters Continuum). Across Rotherham various professionals work with parents. A parenting workforce development model has been locally established to ensure that all professional are equipped, skilled and adopt standardised practice to enable them to work with parents. 23 Workforce Development Given the national position with Social Work recruitment and retention and the nature in which Rotherham has experienced this, the success of Early Intervention and Prevention is inseparable from our future workforce planning and development. Whilst there will always be a need for Social Workers, the difficult situation that the profession is currently experiencing will be diminished once the wider One Children’s Workforce is developed to provide the right support for children, young people and families at the earliest point possible. Developing the workforce to have the knowledge and skills to do this is a huge task, but one that is complimentary to the good practice already underway in Rotherham be that involvement in the range of CWDC programmes currently being rolled out, or more localised to discreet projects on specific areas across the borough. The Prevention and Early Intervention Strategy requires significant cultural and structural changes in the way children and adult services work together. Any significant change programme needs to be supported by a professional development programme that enhances leadership and change management skills for those working in the system. In Rotherham a Children’s Services leadership development programme has been designed which will support working in a multi agency context. This programme is being piloted in the Swinton Learning Community and will be rolled out to each Learning Community in the subsequent months. 24 Appendix 1 – Continuum of Needs/Indicators ROTHERHAM CONTINUUM OF NEEDS/INDICATORS Levels 1 and 2 - Low risk to Vulnerable Child’s needs are not clear, not known or not being met. This is the threshold for beginning a common assessment. Response services are universal support services including voluntary sector organisation and/or targeted services. Level 3 and 4 - Complex Complex needs likely to require longer term intervention from statutory and/or specialist services. High level additional unmet needs – this will usually require a targeted integrated response, which will usually include a specialist or statutory service which may be delivered by the voluntary and community sector. This is also the threshold for a child in need which will require Children’s Social Care intervention. Level 5- Acute Acute needs, requiring statutory intensive support. This in particular includes the threshold for child protection which will require Children’s Social Care intervention. LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 LEVEL 5 Health/ Self-care skills Baby in special care for over 48 hours after birth Low birth weight/ pre-term Baby cries constantly Multiple birth Short term illness or hospitalisation Susceptible to minor health problems Impaired self care skills e.g. poor self hygiene Disability limits self-care Child often hungry/feeding difficulties Health/ Self-care skills Chronic or serious illness Onset of enuresis (bed-wetting)/ Encopresis (soiling) Frequent accidents Frequent illnesses Frequent experimentation with drugs/ substances Mild level of disability Developmental delay – slow in reaching milestones Poor diet Poor growth Significantly over/underweight Eating problems Poor hygiene/cleanliness Inadequate dental care Child & Adolescent Mental Health issues – conduct disorder, ADHD, autism Vulnerable to mental health problems –parent has illness Early sexual activity Health/ Self Care Skills Terminal illness Significant physical/learning disabilities – reliant on others Inadequate diet Occasional self harm Substance misuse potentially damaging to health & development Multiple A&E attendances causing concern Severe development delay Weight gain of infant a cause for concern - below 25th centile Older child takes little responsibility for self care No contact with Health or Dental Services Health/ Self-Care Skills Physical and/or learning disability requiring constant supervision Suspicious non-accidental injury – especially for non-mobile child/ young person Persistent self harm Persistent substance abuse Non-organic failure to thrive At risk of female genital mutilation At risk of sexual exploitation or prostitution Frequent illness with no medical explanation Frequent attendance at A& E/ GP with injuries Refusal of recommended medical treatment Refusal of treatment leading to significant harm Child has internalised discrimination & behaviour reflects poor self-image No self confidence Health/ Self-care skills Evidence of significant harm or neglect Injuries not consistent with explanation Life threatening self harm or attempted suicide Disclosure of abuse from child/young person Involve in sexual exploitation/ trafficking Extreme risk taking behaviour Child’s appearance reflects neglect Child’s appearance impaired by substance misuse &/or other high risk behaviours Emotional & Behavioural Development/ Family & Social Relationships/ Social presentation Living in family with relationship difficulties Emotional & Behavioural Development/ Family & Social Relationships/ Social Presentation Violent parental relationship Caring responsibilities that may effect own development/young carer Privately fostered (not known to C&YPS) Emotional & Behavioural Development/ Family & Social Relationships/ Social Presentation Poor attachment to main carer Readily attaches self to strangers Limited understanding of how Emotional & Behavioural Development/ Family & Social Relationships/ Social Presentation Missing from home on a regular basis Poor peer relationships In care with placement breakdown Emotional & Behavioural Development/ Family & Social Relationships/ Social Presentation Cannot maintain relationships with peers Abusing other children 25 Play or social interaction is impaired Poor concentration Difficulties with peer relationships Can be overfriendly or withdrawn with strangers Difficulty managing change in routine Some evidence of inappropriate responses or action Suffers or perpetrates bullying, discrimination or harassment Disruptive behaviour Early sexual experience Teenage pregnancy (1618) where family support uncertain Occasional experimenting with drugs/ substances Privately fostered (following clearance checks & requiring welfare visits only) Subject of separation/ contact disputes Education/ Identity Little evidence of play stimulation Lack of awareness of,& access to, safe play Occasional unauthorised absence Poor punctuality – parents often late to collect. Some insecurities around identity expressed – low self-esteem Not always engaging with learning Lacks confidence. Poor concentration. Low motivation Sexualised behaviour Bereavement or other significant loss, where child is being affected Child finds change very difficult Hostile, aggressive Anxious, insecure Disruptive or victimised behaviour continues or worsens Behavioural problems/emotional difficulties may effect development e.g. minor offending, low level substance misuse, disruptive behaviour, challenging boundaries above the norm, lacking self control Bullying Lack of positive roll models Peers involved in challenging behaviours Offending behaviour resulting in court appearance or ASBOs Education/ Identity Underachieving, learning difficulties Low self esteem Requires additional support for learning in more than one aspect e.g. language /behaviour /emotional learning. Fixed term exclusion History of long term poor attendance at school Special educational needs at School Action plus or early years Action plus Not in Education, Employment or Training (16-18) Limited leisure or social activities Absence which requires EWS intervention. Unsettled placement Post 16. Lack of parental involvement in play/leisure. actions impact on others Sexually activity (aged over 14) Early teenage pregnancy (under 16) or fathering of a child Involved in criminal activities Socially isolated Experiences persistent discrimination Young person living independently & not coping Young person not entitled to benefits with no means of support De-registered from the Child protection register (within last 12mths) In care with stable placement: needs monitoring Returned home after period of accommodation At risk of forced marriage Criminal or anti-social behaviour affecting parenting Education/ Identity Poor attendance requiring enforcement action. Profound & multiple learning difficulties Special educational needs Assessment considered 5 or more Fixed term exclusions in a year Few leisure or social activities Low self esteem impacting on aspects of school life. Regular support required in school. Poor parental relationships. Poor home school relationships. Severe challenging behaviour Sexually active (under 14) Suffers from periods of depression Professional concerns – but difficulty in accessing child/young person Unaccompanied refugee/ asylum seeker Additional significant caring responsibilities affecting development Isolated from peers Evident fear of others Persistent offending Education/ Identity Poor attendance - totally disengaged ESO – Education Supervision Order. Permanent Exclusion. Child/ young person with statement of special educational needs out of school Experiencing persistent, damaging discrimination Low self esteem in range of situations Exhibiting behaviour which causes distress to self and or others. May require alternative curriculum / personalised learning. Requires increased levels of intervention to achieve acceptable behaviour Young sex offender Serious or persistent offending behaviour likely to lead to custody/ remand in secure unit/prison Missing from home for long periods On child protection register Unable to connect cause or effect of own actions Child abandoned/ rejected by parents Child left in the care of people who may or do present significant risk to the child Education/ Identity Child not registered at school School Attendance Order. High risk of or actual permanent Exclusion. Institute Legal proceedings for Non School Attendance Exhibiting behaviour which cause harm to self and or others. Child requires small group or individual tuition to progress learning. Extremely limited achievement No engagement with (NEET). Anti Social Behaviour Act Parenting Order applicable 26 Parenting Inappropriate anxiety regarding child/young person’s health No ante natal care Concealing pregnancy Difficulties in pregnancy and/or labour Taking prescribed medication for medical condition(s) that could impair parenting ability Unsupported parent Parent less than 19 years old Previous child death Other recent death or bereavement Poor home/school links Parenting Delay in seeking health care for child/ young person Post natal depression Significant language/ communication difficulties Failure to sign on with GP Failure to make application for school place Failure to attend health appointments Difficulties with managing child’s sleeping, feeding or crying Parenting Supported in the community by substance misuse team Substance or alcohol abuse affecting parenting Unable to meet special needs without support services Physically sick or disabled, affecting parenting Expects child/young person to take over caring responsibilities (for self/siblings) Recent experience of serious loss or trauma affecting parenting ability Mental illness affecting parenting Clothing often dirty or ill-fitting Parenting Parent not engaging with professionals Failure to seek appropriate health care affecting child/ young person’s development Allegation of serious suspicion of serious injury ,abuse or neglect Inability to manage severe challenging behaviour without support – resulting in high risk of family breakdown Suspected fabricated or induced illness Instability & violence in the home Previous child removed into care Unable to restrict access to child of a person posing a risk to children Parenting Basic care is frequently inconsistent/ supervision is inadequate Severe substance misuse involvement affecting ability to function on daily basis Unable to meet child/young person’s physical or emotional needs Disclosure from parent of abuse to child/ young person Significantly harms child/ young person Child/ young person rejected from home Escalating or serious domestic violence Evidence of fabricated or induced illness Child/ young person subject of parental delusions which imply risk Does not provide food or adequate diet, warmth or other basics Emotional Warmth Parents show lack of warmth Inconsistent responses to child /young person by parent(s) Stability/ Emotional Warmth Marital/ relationship difficulties that impinge on the child/young person (including contact disputes) Anxiety/ low self-esteem Sense of helplessness Stability/ Emotional Warmth Leaving child inconsistently with multiple carers Stability/ Emotional Warmth Child/ young person beyond parental control Child/ young person threatened with rejection from home Parents inconsistent, highly critical or apathetic towards child/ young person Requests young child be accommodated Stability/ Emotional Warmth Unable to protect child/ young person from harm Severe emotional abuse of child/young person (rejection/ verbal abuse) causing severe distress to child/young person Parent’s emotional experiences negatively impact on their ability to meet child’s needs Guidance & Boundaries/ Stimulation Child/ young person not often exposed to new experiences; spends considerable time alone e.g. watching television Lack of consistent boundaries & guidance Guidance & Boundaries/ Stimulation Condoned absence from school Learning not encouraged/ supported Guidance & Boundaries/ Stimulation Chaotic, inconsistent, insecure parenting Indifferent, intolerant, critical, rejecting Significant parenting difficulties with stimulation, boundaries Physical care or supervision of the Guidance & Boundaries/ Stimulation Child left at home alone or with young carers Guidance & Boundaries/ Stimulation Inability to judge dangerous or risky situations 27 child/young person inadequate or erratic No constructive leisure time or guided play Lack of response to child/ young person’s underachievement at school Child/ young person deliberately kept out of school Family history & Functioning/ Wider Family Parent, sibling or family involved in criminal activity Family crisis where family not coping Sibling with disability or significant health problem Family history & Functioning/ Wider Family Family history of parenting difficulties Stress/conflict in family relationships Acrimonious divorce/ separation Criminal activity or offending behaviour in family affecting child/ young person’s welfare Family history & Functioning/ Wider Family Instances of domestic violence Family history & Functioning/ Wider Family Child/ young person has been identified as child/young person in need but parent/ carer have refused support Significant parental discord & persistent domestic violence Destructive or unhelpful involvement from extended family Family involved in criminal activity; parent or sibling has received custodial sentence Family History & Functioning/Wider Family Person who presents a risk to children in, or known to, household (High risk of) family breakdown & risk of young person being removed/remaining outside the family Unsafe home environment Family home used for drug taking, prostitution, illegal activities Family characterised by conflict Housing/ Income/ Employment Low income/ poor budgeting limiting a child/ young person’s life chances Home insufficiently heated in winter Housing problems – frequent moves – temporary accommodation Living on benefits Parents find it difficult to obtain employment due to poor basic skills Financial difficulties Overcrowded home causing family stress Housing/ Income/ Employment Unhygienic housing Disconnection of utilities Broken windows unattended to House visibly damp Homeless/accommodation at risk Family constantly moving – while concerns need attention/monitoring Chronic debt problems due to mismanagement of own income Parents experience stress due to unemployment or ‘overworking’ Chronic unemployment that has severely affected parents’ own identities Housing/ Income/ Employment Housing/ Income/ Employment Homeless & not eligible for temporary housing Family not entitled to benefits with no means of support Hygiene of home environment places child/ young person at risk Housing/ Income/ Employment Extreme poverty/ deprivation Accommodation dangerous or seriously impairing health Homelessness Drugs or drugs equipment left within reach of child Lack of adequate food, warmth or clothing 28 Family’s Social integration/ Community resources Adequate universal resources but family may have access issues Family’s Social integration/ Community resources Poor family or community support systems Persistent harassment from neighbours Poor social contacts Seeking asylum Deprived neighbourhood – resources such as schools, clinics & play areas inaccessible Lured into truanting with peers Family’s Social integration/ Community resources Family’s Social integration/ Community resources Family chronically socially excluded High levels of conflict with neighbours Family’s Social integration 29 Appendix 2 -Common Assessment Framework (CAF) Process Child is identified as not achieving at least 1 of the 5 outcomes with support from universal services NO YES SS Refer to Social Care in line with Child Protection Procedures YES SS Make referral to relevant agency, seeking consent as appropriate YES SS Discuss concerns with Lead Worker and/or join TAC group FOLLOW CHILD PROTECTION PROCEDURES IF CHILD AT RISK OF HARM OR NEGLECT Is child at risk of harm or neglect? NO Check with CAF Administrator if a CAF has been completed or initiated NO Initiator to speak to family/YP and explain the CAF and TAC process Do parents/YP/child consent to a CAF? NO Inform CAF Administrator and discuss with Line Manager Assess child’s needs using CAF form Initiator to convene the first TAC meeting TAC takes place. Develop Multi-Agency Plan and identify Lead Worker seeking family’s views. Any Problems which cannot be resolved within the TAC should be referred to the Early Intervention Manager LW informs CAF Administrator of TAC outcomes Plan to be reviewed at 6 weeks, 3 months and 6 monthly intervals/as needed Inform CAF Administrator if LW changes or case closes 30 ALL DOCUMENTS MUST BE COPIED TO CAF ADMINISTRATOR 31